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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Ann+Rheum+Dis 2015 ; 74 (11): 2062-9 Nephropedia Template TP
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Gadolinium-based Compounds Induce NLRP3-dependent IL-1? Production and Peritoneal Inflammation #MMPMID24914072
Ann Rheum Dis 2015[Nov]; 74 (11): 2062-9 PMID24914072show ga
Objective: Nephrogenic systemic fibrosis (NSF) is a progressive fibrosing disorder that may develop in patients with chronic kidney disease (CKD) after administration of gadolinium-based contrast agents (GBCAs). In the setting of impaired renal clearance of GBCAs, gadolinium (Gd) deposits in various tissues and fibrosis subsequently develops. However, the precise mechanism by which fibrosis occurs in NSF is incompletely understood. Because other profibrotic agents, such silica or asbestos, activate the NOD-like receptor protein 3 (NLRP3) inflammasome and initiate IL-1? release with the subsequent development of fibrosis, we evaluated the effects of GBCAs on inflammasome activation. Methods: Bone marrow derived macrophages (BMDM) from C57BL/6, Nlrp3?/? and Asc?/? mice were incubated with three Gd-containing compounds and IL-1? activation and secretion was detected by ELISA and Western blot analysis. Inflammasome activation and regulation was investigated in IL-4- and IFN?-polarized macrophages by ELISA, qRT-PCR and NanoString nCounter analysis. Furthermore, C57BL/6 and Nlrp3?/? mice were injected i.p. with GBCA and recruitment of inflammatory cells to the peritoneum was analyzed by FACS. Results: Both free Gd and GBCAs activate the NLRP3 inflammasome and induce IL-1? secretion in vitro. Gd-DTPA also induces the recruitment of neutrophils and inflammatory monocytes to the peritoneum in vivo. Gd activated IL-4-polarized macrophages more effectively than IFN?-polarized macrophages, which preferentially expressed genes known to downregulate inflammasome activity. Conclusion: These data suggest that Gd released from GBCAs triggers a NLRP3 inflammasome-dependent inflammatory response that leads to fibrosis in an appropriate clinical setting. The preferential activation of IL-4-differentiated macrophages is consistent with the predominantly fibrotic presentation of NSF.